Deaf Services What’s all the noise about? Flashcards
SMHSDP MDT
Part time Psychiatrist
1.5 Advanced Nurse Practitioners
Half day per week of Occupational Therapy
Part time admin
No regular interpreter, but book as required
Access to specialist neuropsychologist assessments
Access to specialist inpatient beds as required
what patients are received by SMHSDP
Referrals – from professionals,
written, email
Severe to Profound hearing loss
Including dual sensory loss
Mild to Severe Mental Disorder
Adults only but happy to discuss younger age groups
Work jointly with local mental health teams
mental health relationship with deafness
Higher rates of depression or anxiety
Difficulty around diagnosis of condition or assessment of needs
Often misdiagnosed as learning disability
Deaf people have higher rates of common mental health problems with complex problems.
common impacts on mental health by the deaf society
More likely to be bullied
Isolated from family
Drug and alcohol misuse
Isolation/loneliness
Deaf people struggle to access generic services
Missed and mis-diagnosis
Inappropriate treatment
Prolonged inpatient treatment
legnth of stay impact on deaf community
Deaf inpatients mean LOS twice that of hearing inpatients (97 vs 52 days)
Deaf inpatients 50% delayed discharge
link between deaf community and voice hallucinations
People with acquired deafness may experience an auditory voice.
what should you consider when assessing a deaf patient
Communication needs
Environment light
Questions
Assessment tools
Time
Body language
MMSE
MMSE components
orientation
registration
attention and calculation
recall
language
copying
what is common in the Ageing population
dual sensory impairement - hearing and vision loss